PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1154562981
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies208M00000X Hospitalist
Enumeration Date2009-03-06
Last Update Date2025-05-06
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST
MISSOULA, MT 59802-4096
Phone number: 406-327-1613
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 31001 - 4114
PASADENA, CA 91110-4114
Phone number: 406-543-7271